6 Evaluation of a Diabetic Foot Ulcer History progression of the ulcer etiology of the ulcer previous ulceration

7 Evaluation of a Diabetic Foot Ulcer Size of the ulcer length, width and depth of the ulcer need to be documented Location of the ulcer Dorsally at the base of the toes Plantar on the metatarsal heads and heel area

8

9 Evaluation of the Diabetic Stage of the ulcer Foot Ulcer Determined after the initial debridement Removal of callous and any necrotic material Probing of the ulcer

37 Treatment of a Diabetic Foot Ulcer Evaluation Antibiotics-topical is first line Antibiotics-oral for mild infection Antibiotics-IV for severe infection Daily ulcer care-keep ulcer covered and clean Offloading of the ulcer

59 In Conclusion Diabetic foot ulcers and pressure ulcers are seen frequently by the primary care provider Adequate initial evaluation and treatment is important Referral to a specialist is appropriate after 6 weeks of treatment

Position Statement: Pressure Ulcer Staging Statement of Position The Wound, Ostomy and Continence Nurses (WOCN) Society supports the use of the National Pressure Ulcer Advisory Panel Staging System (NPUAP).

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS Template: Regional Foot Programs should develop a list of available health professionals in the following

Pressure Ulcer Passport Information for patients This is a record of the treatment you are receiving for your pressure ulcer injury. Please bring it with you to all your healthcare appointments. This will

Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS Overview My Background Podiatry: What it was, What it is today Common Ailments of the Foot and Ankle Conservative and Surgical

Rationale of Module Accurate nursing assessment is the key to effective diabetic foot ulcer prevention, treatment and management. A comprehensive assessment identifies ulcer aetiology and the factors which

How does Diabetes Effect the Feet What Skin Changes May Occur? Diabetes can cause changes in the skin of your foot. At times your foot may become very dry. The skin may peel and crack. The problem is that

Diabetic Foot Intervention Why does diabetes cause foot problems? Diabetes can affect the health of the feet in more than one way: Diabetes can damage nerves Nerves allow us to feel pain. While pain doesn

SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents

Benefit Criteria to Change for Hyperbaric Oxygen Therapy for the CSHCN Services Program Effective November 1, 2012 Information posted September 14, 2012 Effective for dates of service on or after November

Sores That Will Not Heal Introduction Some sores have trouble healing on their own. Sores that will not heal are a common problem. Open sores that will not heal are also known as wounds or skin ulcers.

DIABETIC ULCERS OF THE LOWER EXTREMITY By Scott Silver, MD Department of Vascular Surgery William Beaumont Hospitals Introduction Scott M. Silver MD General Surgery Resident at University of South Carolina

G-100 APPLICATION OF DRY DRESSING PURPOSE To aid in the management of a wound with minimal drainage. To protect the wound from injury, prevent introduction of bacteria, reduce discomfort, and assist with

SECTION M: SKIN CONDITIONS Intent: The items in this section document the risk, presence, appearance, and change of pressure ulcers. This section also notes other skin ulcers, wounds, or lesions, and documents

PERIPHERAL ARTERY DISEASE WHAT IS PERIPHERAL ARTERY DISEASE (PAD)? Your arteries carry oxygen-rich blood from your heart to all of your organs and tissues. When the arteries in your legs become narrowed

CELLULITIS Introduction Cellulitis is a common presentation to the Emergency Department. The term cellulitis refers to an uncomplicated non-necrotizing acute infection of the skin that involves the mid

Treat Your Feet: Foot care for people with diabetes UHN People with diabetes often have trouble with their feet. Read this booklet to learn 7 steps to keep your feet healthy. Please visit the UHN Patient

Wound Care: The Basics Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP University of Virginia May, 2010 What Type of Wound is it? How long has it been there? Acute-generally

Tibia (Shinbone) Shaft Fractures Page ( 1 ) The tibia, or shinbone, is the most common fractured long bone in your body. The long bones include the femur, humerus, tibia, and fibula. A tibial shaft fracture

Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government

Page 3 Podiatric Medicine Podiatric Medicine is the profession that strives to improve the overall health and wellbeing of patients by focusing on preventing, diagnosing, and treating conditions associated

Purpose: The development of a facility acquired pressure ulcer brings with it both a financial impact to an institution and a performance or quality of care impact that may be reportable to state or government

Callus Conditions of the Foot A common cause of thickened skin on the bottom of the foot is a misaligned, elongated or thickened metatarsal (bone in the foot). A surgical repair often involves making a

Venous Leg Ulcers Information for patients and carers Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB

Person with Diabetes Taking steps towards good Foot Care FOR AT-RISK FEET Your healthcare professional has found that as a person with Diabetes your feet have a HIGH RISK of developing serious problems

Plantar Fasciitis and Bone Spurs Page ( 1 ) Plantar fasciitis (fashee-eye-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition

CHAPTER 7 LOWER EXTREMITY The plastic and reconstructive surgeon is often called upon to treat many wound problems of the lower extremity. These include leg ulcers of various etiologies, trauma with extensive

DIABETIC FOOT CARE The disease known as DIABETES MELLITUS affects many parts of the body, especially the feet. It is very important that a diabetic give the feet very special care. A small problem in a

The new name for Central Essex Community Service Pressure Ulcer Prevention Prevention Is The Cure Lorraine Grothier Clinical Nurse Specialist Tissue Viability Is Prevention Important? An estimated 4-20%

Heel Spurs "#$%&'$())*+,-./ A heel spur is a hook of bone that can form on the heel bone (calcaneus) and is associated with plantar fasciitis or plantar fasciosis. When the plantar fascia begins to tear,

Human Biology Book Ch. 3.3 Skin performs important functions. Just as an apple's skin protects the fruit inside, your skin protects the rest of your body. Made up of flat sheets of cells, your skin protects

Understanding the Role of Outpatient Wound Centers Patricia Turner BSN, RN, CWCN, CWS Outpatient wound centers are somewhat of a specialty unto themselves within the world of wound care. The focus of the

Page 1 of 6 Plantar Fasciitis (Heel Pain) Plantar fasciitis is a painful condition affecting the bottom of the foot. It is a common cause of heel pain and is sometimes called a heel spur. Plantar fasciitis

CLINICAL PROTOCOL FOR THE MANAGEMENT OF FOOT CARE FOR DIABETIC PATIENTS RATIONALE Clinical evidence suggests that there is considerable potential to improve the quality of foot care for people with diabetes.